Individual
MS. ANDREA M MARTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
17600 N 79TH AVE, APT 102, GLENDALE, AZ 85308-8682
(304) 942-5456
Mailing address
17600 N 79TH AVE, APT 102, GLENDALE, AZ 85308-8682
(304) 942-5456
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070012436
IL
314000000X
Skilled Nursing Facility
2126
WV
Other
Enumeration date
03/20/2007
Last updated
06/30/2022
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